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PUBLIC WORKS <br /> ' 0477 REVIEW WORKSHEET - �j _®y2 <br /> 'r (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/15/2017 <br /> Permit#: PW1702-028 <br /> PROJECT ADDRESS: 415 RIVERSIDE RD <br /> DESCRIPTION OF WORK: SITE WORK FOR RIVERSIDE BUSINESS PARK-LATITUDE PHASE 1 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: PORT OF EVERETT NAME: LATITUDE DEVELOPMENT LLC <br /> ADDRESS: PO BOX 538 ADDRESS: PO BOX 817 <br /> EVERETT,WA,98206 AUBURN,WA,98071 <br /> PHONE: 4253880630 PHONE: 2533945111 <br /> EMAIL: ELISEG@PORTOFEVERETT.COM EMAIL: DAVE@DBROS.COM <br /> CONTACT: ❑ Owner 0 Applicant ❑Other <br /> NAME: THE BLUELINE GROUP(CHRIS MILLER) <br /> PHONE: 4252507249 <br /> EMAIL: CMILLER@THEBLUELINEGROUP.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SSP/316-039 <br /> PW Permit Required?gYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit# lt' ►'I wr <br /> 8IX03-03o rMLT UrS/IE <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ' YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> El NO <br /> Explanation: RIM etrak-— f9 <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: !1 FIRE SERVICE: Q <br /> YES—Amount$ 990.--- ►i RYES—Amount$ IMOf-2°- <br /> E Meter Only, El <br /> Complete Service, Size %11%" Detect Meter Only, &Fire Service Size n <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> 11(RPBAMleedMeyd at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Water Deu p(�rt'ment Cost Estimate Needed-(/f yes, PW Reviewer to se. d c st stimate request to Water Department, attach copy) <br /> !�C2i as+M1a -fir eonnee,�1mns fo rnarh.s��FTar e71 <br /> Existing Utility ermit#(if applica le): <br /> SEWER FEE? � A' <br /> EYES—Amount$ N L V i® )(New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect <br /> El NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE?— • /. add 4o 8H-05-030. <br /> XYES—Amount$ gog .A See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other— <br /> Explanation: <br /> therExplanation: flit u, : 65)50%Sf (10 piniftairst> 33 cre-loc <br /> (Note:Public Works Reviewer t A.d Traffic Mitigation to PW Permit(if applicable <br /> TRAFFIC MITIGATION FEE? —v` / - r 1<b B1303-030. <br /> *YES—Amount$t651 silt., kSee Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE COmtfle .cAfit .tSee Attached Letter <br /> ElNO 'ii 1Ca V t./d e, /cc/ <br /> PW Reviewer: / / Date: <br /> COP <br /> REVISED 10/11/2016 <br />